Alcohol Abuse, Drug Abuse, HIV, Suicide
Conditions
Keywords
suicide, alcohol, marijuana, HIV, prevention, adolescent
Brief summary
This study examines whether an integrated alcohol/substance abuse, suicide, and HIV prevention protocol is associated with lower onset and frequency of alcohol and other drug use, suicidal behavior, and high risk sexual behavior among adolescents receiving community based mental health care.
Detailed description
The purpose of this study is to compare an integrated adolescent alcohol/drug, suicide, and HIV prevention program to an assessment only control condition in a randomized clinical trial. This prevention protocol is designed as an add-on intervention to standard mental health care. We will examine the extent to which the addition of this prevention protocol is associated with lower rates of alcohol use and drug use, suicidal behavior, and HIV related risk behaviors.
Interventions
BEHAVIORALPrevention program
Sponsors
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
George Mason University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* ages 13-18 * English speaking adolescent and at least one English speaking parent * receiving mental health treatment * living with a parent or guardian willing to participate
Exclusion criteria
* Active Alcohol or Marijuana Dependence Diagnosis * HIV infection * Pregnant * Current psychosis * Cognitively unable to give assent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| adolescent alcohol use and binge drinking (any, number of days, number of related problems) | change from baseline to 6 months (prior 3 months) | This was assessed using the Customary Drinking and Drug Use Record |
| adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior) | change from baseline to 6 months (prior month to 6 months) | This was assessed using the Suicidal ideation Questionnaire and the Self-Injurious Thoughts and Behavior Interview |
| adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts) | change from baseline to 6 months (prior 3 months) | This was assessed using the Adolescent Risk Behavior Assessment. |
| adolescent marijuana use (any use, number of days, related problems) | change from baseline to 6 months (prior 3 months) | This was assessed with the Customary Drinking and Drug Use Measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| adolescent degree of perceived self-efficacy for condom use | change from baseline to 1 month | This was assessed with the Self-Efficacy for Condom Use Scale |
| adolescent degree of HIV related knowledge | change from baseline to 1 month | This was assessed with the HIV Knowledge Scale |
| adolescent perceptions of degree of peer substance use and tolerance of use | change from baseline to 6 months | This was assessed with Peer Substance Use and Tolerance of Use scale |
| adolescent perception of the degree of peer approval of sexual activity | change from baseline to 6 months | This was assessed with the Peer Norms Scale for Sexual Activity scale |
| adolescent degree of perceived self-efficacy for HIV prevention | change from baseline to 1 month | This was assessed with the Self-Efficacy for HIV Prevention Scale |
| frequency of parental monitoring behavior | change from baseline to 1 month | This was assessed with the Parental Monitoring Questionnaire |
| degree of adolescent positive/negative attitudes and beliefs about alcohol | change from baseline to 1 month | This was assessed with the Youth Alcohol and Drug Survey |
| degree of adolescent positive/negative attitudes and beliefs about marijuana use | change from baseline to 1 month | This was assessed with the Youth Alcohol and Drug Survey |
| adolescent perception of degree of interpersonal and stress management coping skills | change from baseline to 12 months | This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version |
| adolescent perceptions of degree of peer substance use and approval of use | change from baseline to 12 months | This was assessed with Peer Substance Use and Tolerance of Use scale |
| frequency of positive and negative thoughts related to suicide | change from baseline to 1 month | This was assessed with the Positive and Negative Suicide Ideation Inventory |
| quality of parent-child communication around high risk behaviors | change from baseline to 1 month | This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior |
| adolescent perceptions of parental degree of disapproval of high risk behavior | change from baseline to 1 month | This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use |
| adolescent perception of degree of interpersonal coping and stress management skills | change from baseline to 6 months | This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version |
Countries
United States
Outcome results
None listed